Search › Louisiana › 101Y00000X
Thad Jackson
NPI 1669988879 · on the registry since 2017
Practice
- Address
- 449 Ben Hur Rd Apt 5106b
Baton Rouge, LA 70820 - Phone
- (504) 410-1976
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 171M00000X
- Sex
- Male
- Record last updated
- 2018-06-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana